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Kim JD, Choi JW, Park HO, Lee CE, Jang IS, Choi JY, Kang DH, Jung JJ, Yang JH, Moon SH, Byun JH, Kim SH, Kim JW. Chemical pleurodesis with Viscum album L. extract for secondary spontaneous pneumothorax in elderly patients. J Thorac Dis 2020; 12:5440-5445. [PMID: 33209377 PMCID: PMC7656335 DOI: 10.21037/jtd-20-708] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Background Secondary spontaneous pneumothorax is generally managed by surgery, if pneumothorax was not improved following chest tube insertion or in the event of persistent air leakage lasting more than 5 days. However, if surgery is not an option, chemical pleurodesis with sclerosants can be performed. Several sclerosants have been used in the chemical pleurodesis of secondary spontaneous pneumothorax, However, there is still controversy for what is the ideal sclerosant for Secondary spontaneous pneumothorax. The use of Viscum album L. for chemical pleurodesis in patients with secondary spontaneous pneumothorax aged >65 years has not been described to date, despite its extensive use. The authors tried to find out the effect of Viscum album L. for sclerosant for Secondary spontaneous pneumothorax in elder. Methods This retrospective analysis examined 25 patients (aged >65 years) with secondary spontaneous pneumothorax with persistent air leakage who underwent chemical pleurodesis with Abnova Viscum-F® (V. album L.). Results The duration of chest tube drainage was 5.08 days after chemical pleurodesis. Adverse effects related to chemical pleurodesis with Abnova Viscum-F® were fever (7/25), pain (4/25), leukocytosis (10/25), and dyspnea with desaturation (7/25); however all the patients recovered without sequela and were subsequently discharged. Conclusions The present study demonstrated the successful use of chemical pleurodesis with V. album L. in the management of elderly patients with secondary spontaneous pneumothorax. Because of the high probability of dyspnea with desaturation in the elderly, caution must be exercised.
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Affiliation(s)
- Jong Duk Kim
- The Department of Cardiothoracic surgery, School of Medicine, Gyeonsang National University, Gyeongsang National University Hospital, Jin-Ju, Republic of South Korea
| | - Jae Won Choi
- The Department of Cardiothoracic surgery, School of Medicine, Gyeonsang National University, Gyeongsang National University Hospital, Jin-Ju, Republic of South Korea
| | - Hyun Oh Park
- The Department of Cardiothoracic surgery, School of Medicine, Gyeonsang National University, Gyeongsang National University Hospital, Jin-Ju, Republic of South Korea
| | - Chung Eun Lee
- The Department of Cardiothoracic surgery, School of Medicine, Gyeonsang National University, Gyeongsang National University Hospital, Jin-Ju, Republic of South Korea
| | - In Seok Jang
- The Department of Cardiothoracic surgery, School of Medicine, Gyeonsang National University, Gyeongsang National University Hospital, Jin-Ju, Republic of South Korea
| | - Jun Young Choi
- The Department of Cardiothoracic surgery, School of Medicine, Gyeonsang National University, Gyeongsang National University Hospital, Jin-Ju, Republic of South Korea
| | - Dong Hoon Kang
- The Department of Cardiothoracic surgery, School of Medicine, Gyeonsang National University, Gyeongsang National University Chang-Won Hospital, Chang-Won, Republic of South Korea
| | - Jae Jun Jung
- The Department of Cardiothoracic surgery, School of Medicine, Gyeonsang National University, Gyeongsang National University Chang-Won Hospital, Chang-Won, Republic of South Korea
| | - Jun Ho Yang
- The Department of Cardiothoracic surgery, School of Medicine, Gyeonsang National University, Gyeongsang National University Chang-Won Hospital, Chang-Won, Republic of South Korea
| | - Sung Ho Moon
- The Department of Cardiothoracic surgery, School of Medicine, Gyeonsang National University, Gyeongsang National University Chang-Won Hospital, Chang-Won, Republic of South Korea
| | - Joung Hun Byun
- The Department of Cardiothoracic surgery, School of Medicine, Gyeonsang National University, Gyeongsang National University Chang-Won Hospital, Chang-Won, Republic of South Korea
| | - Sung Hwan Kim
- The Department of Cardiothoracic surgery, School of Medicine, Gyeonsang National University, Gyeongsang National University Chang-Won Hospital, Chang-Won, Republic of South Korea
| | - Jong Woo Kim
- The Department of Cardiothoracic surgery, School of Medicine, Gyeonsang National University, Gyeongsang National University Chang-Won Hospital, Chang-Won, Republic of South Korea
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